Provider Demographics
NPI:1033302336
Name:EBERSTEIN, JOCELYNE (LAC)
Entity Type:Individual
Prefix:
First Name:JOCELYNE
Middle Name:
Last Name:EBERSTEIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10780 SANTA MONICA BLVD STE 245
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7633
Mailing Address - Country:US
Mailing Address - Phone:310-446-1968
Mailing Address - Fax:310-447-8115
Practice Address - Street 1:10780 SANTA MONICA BLVD STE 245
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7633
Practice Address - Country:US
Practice Address - Phone:310-446-1968
Practice Address - Fax:310-447-8115
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC 3016171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist